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Individual

MICHAEL BILLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02731
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081066
HEALTH ALLIANCE
01
0814870013
MEDICARE NSC NUMBER
MO
01
0814870017
MEDICARE NSC NUMBER
MO
01
147084
ANTHEM BLUE CROSS BLUE SHIELD OF MO
MO
05
33792830
MO
01
410049553, CI6574
MEDICARE RAILROAD
MO
01
IL2731
EYEMED
Enumeration date
10/03/2005
Last updated
10/01/2008
Update your record

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